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      Controversies in the Treatment of Ingrown Nails

      review-article
      Author(s): 1 , 2 , 3 , 4 , *
      Publication date (Electronic):
      Journal: Dermatology Research and Practice
      Publisher: Hindawi Publishing Corporation

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          Abstract

          Ingrown toenails are one of the most frequent nail disorders of young persons. They may negatively influence daily activities, cause discomfort and pain. Since more than 1000 years, many different treatments have been proposed. Today, conservative and surgical methods are available, which, when carried out with expertise, are able to cure the disease. Packing, taping, gutter treatment, and nail braces are options for relatively mild cases whereas surgery is exclusively done by physicians. Phenolisation of the lateral matrix horn is now the safest, simplest, and most commonly performed method with the lowest recurrence rate. Wedge excisions can no longer be recommended

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          Most cited references106

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          The Mozena Classification System and treatment algorithm for ingrown hallux nails.

          J Mozena (2002)
          Infected ingrown toenails raise the question of how much nail should be removed and what amount of nail fold reduction should occur. Often, the ungual labia folds are found to be hypertrophic, forcing the nail to push into the flesh and start a foreign body reaction. A simplified approach to this problem is proposed on the basis of the measurement of 100 normal nail folds and 25 infected nail folds. The results of this study show that the treatment goal should be to achieve an ungual labia fold of less than 3 mm, concluding that there is a correlation between the depth of the ungual labia fold and the severity of the infected ingrown toenail.
          Article 0 comments Cited 9 times – based on 0 reviews     Review now
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            Surgical treatment of ingrown toenail without matricectomy.

            Bernard Noël (2007)
            Partial excision of the nail matrix (matricectomy) is generally considered necessary in the surgical treatment of ingrown toenail. Recurrences may occur, however, and poor cosmetic results are frequently observed. The objective is to present a new surgical procedure for ingrown toenail with complete preservation of the nail matrix. Twenty-three patients with ingrown toenail were included in this study. The surgical excision was performed 1 week after the completion of treatment of the initial infection. A large volume of soft tissue surrounding the nail plate was removed under local anesthesia. No matrix excision was performed. Short-term results were excellent. No recurrences or severe complications were observed during the minimum 12-months follow-up period. Cosmetic results were remarkable. Ingrown toenail results from the compression of the lateral nail folds on the nail plate. This study shows that ingrown toenail can be surgically treated without matricectomy. A large volume of soft tissue surrounding the nail plate should be removed to decompress the nail and reduce inflammation. Cosmetic results are excellent and superior to the classical Emmert plasty. Postoperative nail dystrophies and spicule formation are not observed. The main advantage of this surgical approach is the complete preservation of the anatomy and function of the nail to improve both therapeutic and cosmetic results.
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              Letter: Overcurvature of the nails--an inherited disorder.

              Alec R. Chapman (1973)
              Article 0 comments Cited 9 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Dermatol Res Pract
                Journal ID (iso-abbrev): Dermatol Res Pract
                Journal ID (publisher-id): DRP
                Title: Dermatology Research and Practice
                Publisher: Hindawi Publishing Corporation
                ISSN (Print): 1687-6105
                ISSN (Electronic): 1687-6113
                Publication date (Print): 2012
                Publication date (Electronic): 20 May 2012
                Volume: 2012
                Electronic Location Identifier: 783924
                Affiliations
                1Department of Dermatology, Inselspital, University of Bern, Freiburgstrasse 14, 3010 Bern, Switzerland
                2Dermatology Practice Dermaticum, Freiburg, Germany
                3Centro de Dermatología Epidermis, Instituto CUF, Porto, Portugal
                4Department of Dermatology, Acad Hospital, University of Ghent, Gent, Belgium
                Author notes
                *Eckart Haneke: haneke@ 123456gmx.net

                Academic Editor: Bertrand Richert

                Article
                DOI: 10.1155/2012/783924
                PMC ID: 3362847
                PubMed ID: 22675345
                SO-VID: 0a49c67d-8242-4e90-bc06-360f7ee567a7
                Copyright © Copyright © 2012 Eckart Haneke.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 16 November 2011
                Date accepted : 30 January 2012
                Categories
                Subject: Review Article

                ScienceOpen disciplines: Dermatology
                Data availability:
                ScienceOpen disciplines: Dermatology

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